NPIMap

Individual provider Active NPI

John W Richardson Jr., MD

  • Family Medicine Physician
  • Decatur, TX
National Provider Identifier
1659311850
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7876 Issued in TX
Practice address
2301 S FM 51
Suite 500
Decatur, TX 76234-3865
Phone
(940) 627-0013
Fax
(940) 627-1900
NPI assigned
Jun 7, 2006
Last updated
May 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X K7876 TX
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X K7876 TX
Family Medicine Physician 207Q00000X K7876 TX Primary

Addresses

Primary practice location

2301 S FM 51
Suite 500
Decatur, TX 76234-3865

Mailing address

2301 S FM 51
Suite 500
Decatur, TX 76234-3865
Phone (940) 627-0013

Other identifiers 3

IdentifierTypeStateIssuer
P00143490OtherTXMEDICARE RAILROAD
105696208MedicaidTX
8AJ592OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041027000235 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 0840252458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Texas a & M University System, HSC, College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John W Richardson MD PAGroup PAC ID 1456312032, 4 clinicians

Practice addresses (Care Compare)

2301 S FM
51 Suite 500
Decatur, TX 76234-3867
Phone (940) 627-0013

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as apm
Quality
76.45
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions13
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Hospital Authority Current Accepting new patients
John W Richardson MD PA Family Medicine CurrentSince Mar 12, 2003 Accepting new patients
Mark G Goss MD PA CurrentSince Oct 1, 2005 Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Decatur Hospital Authority Past Accepting new patients
Decatur II Enterprises, L.L.C. Past Accepting new patients
Decatur Hospital Authority Past Accepting new patients

Locations

2014 Ben Merritt Dr
Ste A
Decatur, TX 76234
Phone (940) 249-9009

2301 S FM 51
Ste 500
Decatur, TX 76234
Phone (940) 627-0013

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAFCDA
  • Direct secure messaging: john.richardson@hw1.eclinicaldirectplus.com
  • Direct secure messaging: johnrichardson@wise.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bridgeport Medical LodgeBridgeport, TX, CCN 675891 Skilled nursing facility Adp of the SNF Mar 1, 2025
Decatur Medical LodgeDecatur, TX, CCN 676209 Skilled nursing facility Adp of the SNF Mar 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1659311850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S FM 51",
            "address_2": "SUITE 500",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343865",
            "telephone_number": "940-627-0013",
            "fax_number": "940-627-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S FM 51",
            "address_2": "SUITE 500",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343865",
            "telephone_number": "940-627-0013",
            "fax_number": "940-627-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K7876",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "K7876",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00143490",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105696208",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AJ592",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.